| NPI | 1518019173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN S ELLIOTT Co Owner 704-630-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 1010) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 283) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NC 1965) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |